I purchased a prestige medical stethoscope and spyhg before nursing school. However, my school requires each student to purchase a "backpack" with practice supplies from pocket nurse... pen light, thermometer, and a sphyg, however the spyhg was very low quality and made a lot of the students frustrated. I would suggest going with a cheaper version, my stethoscope and sphgy were 20$ each, a two tubed stethoscope. Going for a higher quality could be something you do when you graduate or have an outside job. Also, the extra money could be spent on good shoes. :)